Endoscopic Techniques for Obtaining Enteral Access

Enteral Feeding ◽

Tube Placement ◽

Nasogastric Feeding ◽

Percutaneous Gastrostomy ◽

Endoscopic Techniques ◽

Endoscopic Gastrostomy ◽

Enteral Access ◽

Gastric Feeding

In the absence of contraindications, enteral feeding is recommended for patients who are expected to be intolerant of oral feedings beyond 7 days. Enteral access can be accomplished by a variety of means, including surgical, endoscopic, or radiographic methods. This review focuses on endoscopy-guided options for enteral access. These methods include gastric feeding, which can be accomplished by orogastric, nasogastric, or percutaneous endoscopic gastrostomy tube placement, and postpyloric feeding, accessed through oral or nasal jejunal tubes, percutaneous gastrostomy with a jejunal extension, or direct percutaneous jejunostomy. The indications, techniques, complications, and comparative data of these placement options are outlined, and special clinical considerations (including establishing access in patients with dementia or cirrhosis and those on anticoagulation) are discussed. This review contains 5 figures, 1 table, and 33 references. Key words: direct percutaneous jejunostomy, endoscopy, enteral access in cirrhosis, enteral access in dementia, enteral feeding, enteric access, nasogastric feeding tubes, percutaneous endoscopic gastrojejunostomy tubes, percutaneous endoscopic gastrostomy tubes

Endoscopic Techniques for Obtaining Enteral Access

DeckerMed Surgery ◽

10.2310/surg.9055 ◽

2018 ◽

Author(s):

Marvin Ryou ◽

Sanjay Salgado

Keyword(s):

Enteral Feeding ◽

Tube Placement ◽

Nasogastric Feeding ◽

Percutaneous Gastrostomy ◽

Endoscopic Techniques ◽

Endoscopic Gastrostomy ◽

Enteral Access ◽

Gastric Feeding

In the absence of contraindications, enteral feeding is recommended for patients who are expected to be intolerant of oral feedings beyond 7 days. Enteral access can be accomplished by a variety of means, including surgical, endoscopic, or radiographic methods. This review focuses on endoscopy-guided options for enteral access. These methods include gastric feeding, which can be accomplished by orogastric, nasogastric, or percutaneous endoscopic gastrostomy tube placement, and postpyloric feeding, accessed through oral or nasal jejunal tubes, percutaneous gastrostomy with a jejunal extension, or direct percutaneous jejunostomy. The indications, techniques, complications, and comparative data of these placement options are outlined, and special clinical considerations (including establishing access in patients with dementia or cirrhosis and those on anticoagulation) are discussed. This review contains 5 figures, 1 table, and 33 references. Key words: direct percutaneous jejunostomy, endoscopy, enteral access in cirrhosis, enteral access in dementia, enteral feeding, enteric access, nasogastric feeding tubes, percutaneous endoscopic gastrojejunostomy tubes, percutaneous endoscopic gastrostomy tubes

Early Initiation of Enteral Feeding After Percutaneous Endoscopic Gastrostomy Tube Placement

Nutrition in Clinical Practice ◽

10.1177/0115426502017002123 ◽

2002 ◽

Vol 17 (2) ◽

pp. 123-125 ◽

Cited By ~ 18

Author(s):

Srinivasan Dubagunta ◽

Christopher D. Still ◽

Arvind Kumar ◽

Zahoor Makhdoom ◽

Nicholas A. Inverso ◽

...

Keyword(s):

Enteral Feeding ◽

Early Initiation ◽

Gastrostomy Tube ◽

Tube Placement ◽

Endoscopic Gastrostomy ◽

Gastrostomy Tube Placement

Percutaneous Endoscopic Gastrostomy Tube Placement: A Single Center Experience

Journal of Digestive Endoscopy ◽

10.1055/s-0039-3401391 ◽

2019 ◽

Vol 10 (03) ◽

pp. 150-154

Author(s):

Ankur Gupta ◽

Anil K. Singh ◽

Deepak Goel ◽

Akash N. Gaind ◽

Shireesh Mittal

Keyword(s):

Enteral Feeding ◽

Tube Placement ◽

Single Center Experience ◽

Endoscopic Gastrostomy ◽

Neurologic Disorders ◽

Swallowing Difficulty ◽

Procedural Success ◽

Peg Tube

Abstract Introduction Percutaneous endoscopic gastrostomy (PEG) tube placement is one of the recommended methods for providing enteral feeding in patients with swallowing difficulty and intact gastrointestinal tract. We review our three years of experience pertaining to PEG placement in our hospital. Methods Records of all the patients, who underwent PEG between May 2014 to September 2017, were reviewed and relevant clinical and procedural details were noted. For all the patients, the procedure was conducted under antibiotic prophylaxis, moderate sedation, and local anesthesia. The PEG tube was placed by the “pull up” method. Telephonic follow-up of the patients was carried out after one month of study completion. Results The PEG tube was placed in 73 patients (male 51 [69.9%]; age median [range] 67 [16–91] years). PEG was placed in 42 patients with stroke (57.6%), other neurologic disorders 17 (23.3%), coma due to head injury 5 (6.8%), and terminal malignancy 9 (12.3%). Technical success was achieved in 73 (97%) patients. Eleven procedure-related complications occurred in nine patients (15.5%) including one death due to peritonitis. Of the 57 patients, who could be followed-up after discharge, 41 died of their primary illness after 65 (1–751) days, nine were alive and continuing on PEG tube feed, and in seven PEG was removed because it was not needed. Conclusion PEG is a useful procedure for enteral feeding. Although procedural success is high, it may be accompanied by significant complications.

Percutaneous Endoscopic Gastrostomy Tube Gone Wrong: Endoscopic Closure to the Rescue

Journal of Digestive Endoscopy ◽

10.1055/s-0041-1739563 ◽

2021 ◽

Vol 12 (03) ◽

pp. 169-171

Author(s):

Jahnvi Dhar ◽

Naveen Kumar ◽

Pankaj Gupta ◽

Rakesh Kochhar ◽

Jayanta Samanta

Keyword(s):

Tube Placement ◽

Endoscopic Management ◽

Unusual Complication ◽

First Line ◽

Endoscopic Gastrostomy ◽

Endoscopic Closure ◽

Enteral Access ◽

Peg Tube

AbstractPercutaneous endoscopic gastrostomy (PEG) is one of the most commonly performed endoscopic procedures and a first-line treatment for the establishment of enteral access in those with intolerance or contraindication to oral feedings. A small amount of pneumoperitoneum in the immediate postprocedure period is well reported after PEG tube placement. However, pneumoperitoneum resulting from displaced gastric bumper within 24 hours postprocedure is uncommon and rarely reported in the literature. Timely diagnosis and early endoscopic management can help tackle such an unusual complication.

Percutaneous Endoscopic Gastrostomy Tube Placement in COVID-19 Patients

Frontiers in Nutrition ◽

10.3389/fnut.2021.603276 ◽

2021 ◽

Vol 8 ◽

Author(s):

Hemant Goyal ◽

Aman Ali ◽

Pardeep Bansal

Keyword(s):

Enteral Feeding ◽

Multidisciplinary Approach ◽

Discharge Planning ◽

Tube Placement ◽

Endoscopic Gastrostomy ◽

The World ◽

Gastrostomy Tube Placement ◽

Peg Tube

Intensive care units (ICU) around the world are overburdened with COVID-19 patients with ventilator-dependent chronic respiratory failure (VDRF). Gastroenterology evaluations are being made to address the provision of chronic enteral feeding with the help of percutaneous endoscopic gastrostomy (PEG) placements in these patients. The placement of the PEG tube along with tracheostomy in patients with COVID-19 and prolonged VDRF may expedite discharge planning and increase the availability of ICU beds for other patients. Herein, we describe a multidisciplinary approach of PEG tube placements for patients with SARS-CoV-2-induced chronic VDRF for continued enteral feeding to avoid complications and decrease the length of stay.

Severe recurrent gastrointestinal bleeding following percutaneous endoscopic gastrostomy tube placement: a rare complication

BMJ Case Reports ◽

10.1136/bcr-2019-229851 ◽

2019 ◽

Vol 12 (6) ◽

pp. e229851

Author(s):

Ikponmwosa Enofe ◽

Manoj P Rai ◽

Julie L Yam

Keyword(s):

Rare Complication ◽

Gastrostomy Tube ◽

Tube Placement ◽

Severe Bleeding ◽

Percutaneous Gastrostomy ◽

Endoscopic Gastrostomy ◽

Gastrostomy Tube Placement ◽

Percutaneous Gastrostomy Tube

Severe bleeding requiring blood transfusions following endoscopic, percutaneous gastrostomy tube placement is a rare complication. We describe a case of severe recurrent haemorrhage with bright red blood from rectum from endoscopic, percutaneous gastrostomy tube placement, which ultimately required removal of the percutaneous endoscopic gastrostomy tube.